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Nutrition Management in Pediatric Small Bowel Transplant
Author(s) -
Strohm Sharon L.,
Koehler Anita N.,
Mazariegos George V.,
Reyes Jorge
Publication year - 1999
Publication title -
nutrition in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.725
H-Index - 71
eISSN - 1941-2452
pISSN - 0884-5336
DOI - 10.1177/088453369901400203
Subject(s) - medicine , parenteral nutrition , anthropometry , short bowel syndrome , pediatrics , linear growth , enteral administration , gastroenterology , thriving , social science , mathematics , sociology
Fifty‐five children received intestinal transplants (ITx) at the Children's Hospital of Pittsburgh between July 1990 and January 1997. We assessed 23 children who had at least 1 year of follow‐up with functioning intestinal grafts (7 isolated small bowel, 13 liver/ small bowel, and 3 multivisceral) for nutritional status, linear growth, and weight gain. We divided the children into 4 groups by age: infants <1 year (n = 4), toddlers 1–5 years (n = 6), preadolescents 5–10 years (n = 6), and adolescents 10–18 years (n = 7). We began an appropriate elemental formula at an average of 15 days post‐ITx (median, 13 days). At 1‐year post‐ITx, 15 children (65%) were thriving on oral diets, 7 children (31%) required enteral tube feedings that were secondary to oral aversion, and 1 child (4%) received partial parenteral nutrition support. Anthropometric data showed linear growth, appropriate weight in relation to height, and maintenance of fat and muscle stores. Serum albumin increased one‐year post‐ITx in each age group. Serum zinc and red blood cell (RBC) folate levels were commonly found to be abnormal post‐ITx.